24E-15659-57356
5 vaccinations
13 coded responses
61 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 622 / IL
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pyrexia — Feeling: Good · Site: PainFree text: Low grade fever and flushed, ted face last night for only a bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: Aches and tiredness on injection sit, acweek after other symptoms stopped. Only a day and a half.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Discomfort, Fatigue, Headache, Injection site reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Injection site heavy and tired. Fatigued. Headaches in the back of my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-02
Dose 3 — Moderna
- 2021-11-07
- 2021-11-08
- 2021-11-09
-
2021-11-16
Survey response — day 14, dose 3MedDRA: Fatigue, Nasopharyngitis — Feeling: GoodFree text: I have a cold, and I'm really tired.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — day 21, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Resurgence of my cold.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Myalgia, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sneezing — Feeling: Poor · Be unable to work or attend schoolFree text: Cold with stuffy nose, sore throat, coughing, sneezing, fatigue, and muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — day 35, dose 3MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bad cold, stuffy nose, post nasal drip, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2022-02-01
- 2022-05-03
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
-
2022-08-23
Survey response — 3 months, dose 4MedDRA: Injection site pain, Muscular weakness — Feeling: GoodFree text: There was a time a few weeks ago, when my arm was just weak and achy at the site of the injection. It lasted a couple of weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Dose 5 — Moderna
- 2022-09-26
-
2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain, aches at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
-
2022-10-24
Survey response — day 28, dose 5MedDRA: Oropharyngeal pain, Throat irritation, Upper-airway cough syndrome — Feeling: FairFree text: Post basal drip that irritates throat and makes it sorrMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
-
2022-11-07
Survey response — day 42, dose 5MedDRA: Cough, Fatigue, Laryngitis, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sneezing, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Sore throat, cold, sneezing, cough, laryngitis, fatigue, tested negative for COVID · Healthcare visit (other): Get steriod RxMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-08
Call successfulNot applicable - Accidental Reporting
-
2022-12-26
Survey response — 3 months, dose 5MedDRA: Ear pain, Middle ear effusion — Feeling: GoodFree text: Liquid behind eardrum, earacheMedDRA releases: 2024-11 · check-in free text available
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Low grade fever and flushed, ted face last night for only a bit
Release 5 — day 14, dose 1
Symptoms: Aches and tiredness on injection sit, acweek after other symptoms stopped. Only a day and a half.
Release 7 — day 14, dose 2
Symptoms: Injection site heavy and tired. Fatigued. Headaches in the back of my head.
Release 10 — day 14, dose 3
Symptoms: I have a cold, and I'm really tired.
Release 10 — day 21, dose 3
Symptoms: Resurgence of my cold.
Release 10 — day 28, dose 3
Symptoms: Cold with stuffy nose, sore throat, coughing, sneezing, fatigue, and muscle aches
Release 10 — day 35, dose 3
Symptoms: Bad cold, stuffy nose, post nasal drip, fatigue.
Release 12 — 3 months, dose 4
Symptoms: There was a time a few weeks ago, when my arm was just weak and achy at the site of the injection. It lasted a couple of weeks.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Pain, aches at injection site
Systemic reaction (other): Pain at injection site
Release 12 — day 28, dose 5
Symptoms: Post basal drip that irritates throat and makes it sorr
Release 12 — day 42, dose 5
Symptoms: Sore throat, cold, sneezing, cough, laryngitis, fatigue, tested negative for COVID
Healthcare visit (other): Get steriod Rx
Release 12 — 3 months, dose 5
Symptoms: Liquid behind eardrum, earache
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release